General (Details 2) (USD $) In Millions	3 Months Ended	9 Months Ended
Sep. 30, 2011	Sep. 30, 2010	Sep. 30, 2011	Sep. 30, 2010
Net revenues
Managed Care Revenue	$ 533.3	$ 610.3	$ 1,627.9	$ 1,784.9
Fee-For-Service and Cost-Plus Contracts Revenue	45.0	47.0	131.3	145.3
Block Grant Revenues	31.8	26.0	85.0	82.8
Dispensing Revenue	61.8	58.6	178.7	178.3
Performance-Based Revenue	$ 2.4	$ 2.9	$ 15.6	$ 8.7

Represents the revenue the co-payments received from members of the health plans the company serves, when the specialty pharmaceutical drugs are shipped.

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+ References

Reference 1: http://www.xbrl.org/2003/role/presentationRef

-Publisher FASB

-Name Accounting Standards Codification

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-SubTopic 10

-Section S99

-Paragraph 2

-Subparagraph (SX 210.5-03.1)

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+ References

Reference 1: http://www.xbrl.org/2003/role/presentationRef

-Publisher FASB

-Name Accounting Standards Codification

-Topic 225

-SubTopic 10

-Section S99

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+ References

Reference 1: http://www.xbrl.org/2003/role/presentationRef

-Publisher AICPA

-Name Audit and Accounting Guide (AAG)

-Number AAG-HCO

-Chapter 8

-Paragraph 10

-IssueDate 2006-05-01

-LegacyDoc This reference is SUPERSEDED by the Accounting Standards Codification effective for interim and annual periods ending after September 15, 2009. This reference is included to help users transition from the previous accounting hierarchy and will be removed from future versions of this taxonomy.

Reference 2: http://www.xbrl.org/2003/role/presentationRef

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